Individual provider Active NPI

Elizabeth H Dilg, M.D.

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1568692333
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5966 Issued in TX
Practice address
2021 N Macarthur Blvd
Suite 520
Irving, TX 75061-2219
Phone
(469) 800-1050
Fax
(469) 800-1060
NPI assigned
Jul 15, 2009
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P5966 TX Primary

Addresses

Primary practice location

2021 N Macarthur Blvd
Suite 520
Irving, TX 75061-2219

Mailing address

2021 N Macarthur Blvd
Suite 520
Irving, TX 75061-2219
Phone (469) 800-1050

Other identifiers 3

IdentifierTypeStateIssuer
328458002OtherTXMEDICAID OTHER COUNTY
328458001MedicaidTX
324981YL7AOtherTXMEDICARE - OTHER COUNTY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140103000213 TX Practitioner - Internal Medicine 1951539634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P5966TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 2, 2016 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince May 2, 2016 Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

2021 N MacArthur Blvd
Ste 520
Irving, TX 75061
Phone (469) 351-3432

Interoperability endpoints

  • Direct secure messaging: elizabeth.dilg.1@17045.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1568692333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD",
            "address_2": "SUITE 520",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "469-800-1050",
            "fax_number": "469-800-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD",
            "address_2": "SUITE 520",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "469-800-1050",
            "fax_number": "469-800-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILG",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER COUNTY",
            "identifier": "328458002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328458001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - OTHER COUNTY",
            "identifier": "324981YL7A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.